Abstract
A seven-year-old girl presented to Sultan Qaboos University Hospital, Oman, with a history of having been hit by a motor vehicle. After this, she had right-sided cerebrospinal fluid otorrhoea, and a week later, brain matter extruded through the right ear. A computed tomography scan of the brain demonstrated a tegmen fracture communicating with the external auditory canal. There was no hearing or facial nerve impairment and an otoscopic examination showed an intact tympanic membrane. She underwent a transcranial repair of the middle cranial fossa base, which revealed a wide dural and bony defect of the tegmen with herniation of the temporal lobe. Repair was made with an intradural patch of artificial dura. The rarity of this type of presentation of temporal bone fracture and its management are discussed.
| Original language | English |
|---|---|
| Pages (from-to) | 352-356 |
| Number of pages | 5 |
| Journal | Sultan Qaboos University Medical Journal |
| Volume | 12 |
| Issue number | 3 |
| Publication status | Published - 2012 |
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Keywords
- Basilar
- Case report
- Encephalocele
- Oman
- Pediatric
- Skull fracture
ASJC Scopus subject areas
- Medicine(all)
Cite this
Traumatic acute brain herniation through the ear in a child : Concealed compound fracture. / Kariyattil, Rajeev; Muthukuttiparambil, Unnikrishnan.
In: Sultan Qaboos University Medical Journal, Vol. 12, No. 3, 2012, p. 352-356.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Traumatic acute brain herniation through the ear in a child
T2 - Concealed compound fracture
AU - Kariyattil, Rajeev
AU - Muthukuttiparambil, Unnikrishnan
PY - 2012
Y1 - 2012
N2 - A seven-year-old girl presented to Sultan Qaboos University Hospital, Oman, with a history of having been hit by a motor vehicle. After this, she had right-sided cerebrospinal fluid otorrhoea, and a week later, brain matter extruded through the right ear. A computed tomography scan of the brain demonstrated a tegmen fracture communicating with the external auditory canal. There was no hearing or facial nerve impairment and an otoscopic examination showed an intact tympanic membrane. She underwent a transcranial repair of the middle cranial fossa base, which revealed a wide dural and bony defect of the tegmen with herniation of the temporal lobe. Repair was made with an intradural patch of artificial dura. The rarity of this type of presentation of temporal bone fracture and its management are discussed.
AB - A seven-year-old girl presented to Sultan Qaboos University Hospital, Oman, with a history of having been hit by a motor vehicle. After this, she had right-sided cerebrospinal fluid otorrhoea, and a week later, brain matter extruded through the right ear. A computed tomography scan of the brain demonstrated a tegmen fracture communicating with the external auditory canal. There was no hearing or facial nerve impairment and an otoscopic examination showed an intact tympanic membrane. She underwent a transcranial repair of the middle cranial fossa base, which revealed a wide dural and bony defect of the tegmen with herniation of the temporal lobe. Repair was made with an intradural patch of artificial dura. The rarity of this type of presentation of temporal bone fracture and its management are discussed.
KW - Basilar
KW - Case report
KW - Encephalocele
KW - Oman
KW - Pediatric
KW - Skull fracture
UR - http://www.scopus.com/inward/record.url?scp=84874576030&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84874576030&partnerID=8YFLogxK
M3 - Article
VL - 12
SP - 352
EP - 356
JO - Sultan Qaboos University Medical Journal
JF - Sultan Qaboos University Medical Journal
SN - 2075-051X
IS - 3
ER -